Individual provider Active NPI

Jemina Haydee Hart, PT

  • Physical Therapist
  • Mandeville, LA
National Provider Identifier
1356385009
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08396R Issued in LA
Practice address
67070 Dolan St
Mandeville, LA 70471-6919
Phone
(917) 628-7501
NPI assigned
Jun 15, 2006
Last updated
Dec 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 027361 NY
Physical Therapist 225100000X 08396R LA Primary

Addresses

Primary practice location

67070 Dolan St
Mandeville, LA 70471-6919

Mailing address

67070 Dolan St
Mandeville, LA 70471-6919
Phone (917) 628-7501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121018000268 LA Practitioner - Physical Therapist in Private Practice 4789686544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Superior Rehabilitation Services, LLCGroup PAC ID 9436043049, 3 clinicians

Practice addresses (Care Compare)

107 S Military Rd
Suite 1
Slidell, LA 70461-4158
Phone (985) 641-2866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08396RLAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Dynamics, LLC Physical Therapist CurrentSince Aug 15, 2022 Accepting new patients
Marika Molnar Physical Therapist PC PastSince Jan 13, 2003 Accepting new patients

Locations

476 Falconer Dr
Covington, LA 70433
Phone (985) 871-7878

4626 Highway 22
Mandeville, LA 70471
Phone (985) 792-7990

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1356385009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67070 DOLAN ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716919",
            "telephone_number": "917-628-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67070 DOLAN ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716919",
            "telephone_number": "917-628-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "JEMINA",
        "middle_name": "HAYDEE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "027361",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08396R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.